About The Job
Mercor
connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include
Benchmark
,
General Catalyst
,
Peter Thiel
,
Adam D'Angelo
,
Larry Summers
, and
Jack Dorsey
.
Position:
Claims Operations Expert
Type:
Contract
Compensation:
$55–$80/hour
Location:
Remote
Role Responsibilities
• Develop long-horizon claims tasks with deterministic rubrics to evaluate agent performance against verifiable ground truth.
• Build scenarios in FNOL and triage, Adjudication, and Specialized handling to ensure tasks have checkable answers.
• Evaluate FNOL and triage processes, including intake against required-field checklists and coverage analysis with documented determinations.
• Review adjudication tasks such as reserve setting against guidelines and adjuster notes with required elements.
• Collaborate on specialized handling scenarios like subrogation screening and SIU fraud referrals using rule-based criteria.
• Work independently and asynchronously to meet deadlines while improving AI model performance.
Qualifications
Must-Have
• 3+ years as a claims adjuster, claims operations specialist, or claims supervisor in P&C, workers comp, or specialty lines.
• Expertise in specific claim types, coverage analysis, reserving practice, subrogation, SIU or fraud investigation, or claims systems like Guidewire ClaimCenter or Duck Creek.
• Comfortable with claims artifacts: FNOLs, coverage opinions, reserve memos, adjuster notes, settlement, and denial letters.
• Clear written communication; ability to articulate reasoning step by step and encode it into deterministic rubrics.
Preferred
• Adjuster licensure in at least one US state.
Compensation & Legal
• Hourly contractor
• Strong contributors promoted based on task quality and throughput.
Application Process (Takes 20–30 mins to complete)
• Upload resume
• AI interview based on your resume
• Submit form
Resources & Support
• For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
• For any help or support, reach out to:
[email protected]
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.
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